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Stages and Symptoms of Gum Disease

Gum disease is an incredibly common, yet underdiagnosed condition that affects over 50 percent of the population. Many people suffer from this disease, but are unaware since the symptoms can seem normal and typically do not cause discomfort. While the first stage, gingivitis, is easily cured with professional intervention, if left untreated, it can progress to the incurable periodontitis and advanced periodontitis. Periodontitis is a destructive disease that infects the soft and hard tissues of the mouth and can eventually cause the loss of multiple teeth.

Common symptoms of gum disease include:

  • Bleeding when brushing and flossing teeth
  • Swollen, red, or inflamed gums
  • Gum recession
  • Halitosis (bad breath)
  • Loose teeth
  • Sensitivity to hot or cold beverages

Stages Of Gum Disease

Animation of healthy gum tissue and tooth

Healthy gums and tooth

Animation of gum tissue and tooth with gingivitis


Animation of gum tissue and tooth with periodontitis


Animation of gum tissue and tooth with advanced periodontitis

Advanced Periodontitis

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"My Gum Disease & Overall Health Has Improved Drastically" - Ruby

Advanced Periodontal Treatments

Periodontists spend extra years studying and training in ways to identify symptoms and treat causes of gum disease to give you the most optimal health. Dr. Patrick Nicosia has been providing exclusively periodontal care for the past three decades and specializes in gum disease treatment by offering multiple surgical and non-surgical treatments to preserve your teeth and your smile. Our periodontal services include:

Osseous Surgery

Dr. Nicosia treating patient

The tried-and-true method of gum disease treatment and cleaning the teeth and gums. Dr. Nicosia will surgically remove infected gum tissue and clear away bacteria that has gathered around your tooth roots. Any bone that has been lost due to the disease will be reshaped and the healthy gums will be reattached. With the disease cleared, the gums can provide adequate protection again and hold your teeth firmly in place.

Periodontal Maintenance

Woman receiving periodontal maintenance treatment

After disease and bacteria has been cleared from your gums and teeth, you will need to receive routine periodontal maintenance every three months to ensure the infection does not return. This includes a deep cleaning of your teeth and gums, including scaling and root planing.

Scaling and Root Planing

Closeup of teeth and gums during scaling treatment

A thorough deep cleaning of your teeth and gums used to remove bacteria and tartar buildup. When bacteria gather around your tooth roots, it is impossible to clean without professional treatment. We use specialty tools to access the area just below the gums and scrape away tartar and bacteria and allow your gums to reattach to the teeth.

Treatment to Preserve Your Oral Health

It is important to be checked for signs of gum disease during every dental appointment as anyone can develop the condition. Dr. Nicosia has the experience and advanced education to help identify and treat the disease while still in the gingivitis stage, saving your smile from permanent harm. For those with dental anxiety, we offer effective sedation dentistry to ensure you are able to see the doctor without fear, anxiety and virtually no discomfort. Our staff will help schedule frequent appointments for periodontal maintenance every three to four months to keep you healthy and with a beautiful smile.